Meena H. Mehta

Primary specialty

DentistTaxonomy code 122300000X

License

10499 Issued in GA

Legal business name

MEENA H. MEHTA

Practice address

3981 Lawrenceville Hwy Ste a
Tucker, GA 30084-4525

Phone

(770) 491-1138

Fax

(770) 491-1168

NPI assigned

May 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Meena H Mehta, DDSNPI 1497763395

Title

General Dentist

Phone

(770) 491-1138

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meena Harshad Mehta, DDS

  • Dentist
  • Tucker, GA
  • NPI 1497763395
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1952661258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3981 LAWRENCEVILLE HWY STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844525",
            "telephone_number": "770-491-1138",
            "fax_number": "770-491-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 LAWRENCEVILLE HWY STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844525",
            "telephone_number": "770-491-1138",
            "fax_number": "770-491-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEENA H. MEHTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MEENA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "770-491-1138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "10499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000362964E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicor Healthcare, Inc
• Mediquip Medical Supplies Inc
• Mediquip Medical Supplies Inc of Tucker
• Mediwellness, LLC
• Medlife Medical Supply LLC
• Meena Harshad Mehta, DDS
• Neema Shah Mehta, P.T.
• Fabian Rafael Mejias
• Meltdown Fitness Atlanta, LLC
• Sarah Elizabeth Melvin

• Dentist in Tucker, GA
• Providers in Tucker, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.